Funding Request | Eureka Springs City Advertising & Promotion Commission

Eureka Springs City Advertising & Promotion Commission

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EUREKA SPRINGS

City advertising & promotion commission

Funding support request application for

Privately attended conventions/meetings

and public events

Today's Date: 5/12/2021

All fields are required!
IF FIELD DOES NOT APPLY, ENTER NA.

Name of Organization

Contact Person

Contact Email

Address

City

State

Zip

Work Phone

Home Phone

Cell Phone

Alternate Contact Person

Telephone Number for Alternate

Email for Alternate

Is this a non-profit organization?

Non-profit tax ID #

GROUP HISTORY

Number of Years in Existence

Number of total lodging place room nights anticipated

Number of total attendees anticipated

Number of total lodging place nights generated in each of the two years

Number of total attendees in each of the past two years

Location of event in each of the past two years

Goal(s)/History of Group

Funding support request

Name of Event

Start Date of Event

End Date of Event

Admission Charge

$ .00

Amount of Funds Requested

$ .00

Purposed Use Funds

Other information to support request

It is required that you attach a specific advertising budget by medium to this request. Detail of direct mailings is required.

Financial Information

First year events, please attach your projected event budget.

Cost for Event Last Year

$ .00

Profit for Event Last Year

$ .00

How was the profit used?

What is the total budget amount for this year's event

$ .00

How will the profit generated by this event be used this year

I hereby state, and affirm that the statements contained herein are full, true and correct.
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Request Submitted By

Date 5/12/2021